Senior Pharmacy Clearance Operations Manager

4 weeks ago


Norcross, Georgia, United States Soleo Health Inc Full time
Job Summary:

Soleo Health Inc. is seeking a dedicated Senior Pharmacy Clearance Operations Manager to support our Patient Access team in the USA, working remotely. As a key member of our team, you will play a vital role in simplifying complex care for patients.

Key Responsibilities:
  • Oversee the clearance team, providing daily guidance and support, and participate in complex therapy benefit verification and/or prior authorization submission.
  • Monitor and assign referral workload to clearance specialists, ensuring they meet or exceed productivity and quality expectations.
  • Train and retrain clearance specialists, maintaining an ongoing log of referrals received and completed.
  • Counsel clearance specialists as needed, intervening or escalating referrals not processed within the required timeframe.
  • Facilitate new referral project coordination with internal customers, providing guidance on referral processing standards and sole contracts.
Requirements:
  • A high school diploma or equivalent.
  • Previous medical and pharmacy benefit experience, with at least 2 years of specialty pharmacy, home infusion pharmacy, and/or reimbursement experience.
  • Ability to interpret payor contract fee schedules based on NDC and HCPCS units.
  • Excellent communication skills, with the ability to effectively handle multiple priorities within a changing environment.
  • Intermediate level skill in Microsoft Excel and Microsoft Word.
About Us:

Soleo Health Inc. is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best talent as our employees are our greatest asset.

We offer a competitive salary range of $80,000 - $110,000 per year, depending on experience, plus benefits, including paid time off, great company culture, annual merit-based increases, paid parental leave options, and more.



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